..Our objective was to describe missed opportunities to diagnose CRC before endoscopic referral, in terms of patient characteristics, nature of clinical clues, and types of diagnostic-process breakdowns involved...

Older patients' enthusiasm to use electronic mail to communicate with their physicians: cross-sectional survey

..This information has been difficult to ascertain from paper-based records. We used an integrated electronic health record (EHR) to identify characteristics and predictors of missed opportunities for earlier diagnosis of lung cancer...

Daniel R MurphyHouston VA Health Services Research and Development Center of Excellence, and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, both at the Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research and Development, Houston, Texas, USABMJ Qual Saf 23:8-16. 2014

..Implementation of this proposed infrastructure can facilitate identification of EHR-related adverse events and errors and potentially create a safer and more effective EHR-based health care delivery system...

..Hypertension is extremely prevalent in patients with diabetes. Limited data exist on whether patterns of antihypertensive use in this population are consistent with evidence-based practice guidelines...

..We examined the impact of factors likely to influence providers' acceptance of an alerting system, designed to facilitate electronic communication in outpatient settings, on provider satisfaction, intentions to quit, and turnover...

..We describe how a sociotechnical approach can be used to understand the complex origins of HIT errors, which may have roots in rapidly evolving technological, professional, organizational, and policy initiatives...

..The authors describe the use of Health Care Failure Modes and Effects Analysis (HFMEA) to proactively assess the risks of this transition, and present a qualitative evaluation of the HFMEA process...

..These possible intervention strategies include using new technologies to enhance communication between health providers and health systems, improve patient involvement, and facilitate management of information in the medical record...

Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors

..In this paper, the authors characterize these processes and propose a wiki-style communication model to improve coordination of decision making among clinicians using an integrated electronic health record (EHR)...

Evaluation of outcomes from a national patient-initiated second-opinion program

..We estimated the frequency of diagnostic errors in the US adult population by synthesising data from three previous studies of clinic-based populations that used conceptually similar definitions of diagnostic error...

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data

..1% and specificity of 98.9%. The SMART API successfully utilized the knowledge base to generate problem-medication links for test patients. Future work is necessary to improve knowledge base sensitivity and efficiency...

Quality of care for hypertension and diabetes in federal- versus commercial-managed care organizations

..These actions can help identify and prioritize solutions to the key legal, ethical, and financial dilemmas discussed, so that widespread, safe, effective, interoperable EHRs can help transform health care...

..Abnormal imaging results may not always lead to timely follow-up. We tested whether certain aspects of communication in radiology reports influence the response of the referring providers, and hence follow-up on abnormal findings...

Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework

..At the same time, policy initiatives should support programs to implement, and perhaps reward the use of, more rigorous interprofessional teamwork principles to improve outpatient communication and coordination. ..

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians

Urmimala SarkarDivision of General Internal Medicine, University of California, San Francisco, San Francisco, CA 94143, USABMJ Qual Saf 21:641-8. 2012

..The authors surveyed primary care physicians (PCPs) about barriers to timely diagnosis in the outpatient setting and assessed their perceptions of diagnostic difficulty...